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She said: “Given recent cultural shifts toward becoming more permissive of female sexual expression and the proliferation in accessibility to sexual imagery and casual sex through the internet, software applications, and social media, one possible explanation for the smaller gender differences found in our study is that the prevalence of difficulty controlling sexual behaviours among women may be increasing.”

Dr Dickenson added: “Health care professionals should be alert to the high number of people who are distressed about their sexual behaviour, carefully assess the nature of the problem within its sociocultural context, and find appropriate treatments for both men and women.”

The findings are published in the journal JAMA Network Open.

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